Provider Demographics
NPI:1619196508
Name:ASHBROOK RADIOLOGY PLLC
Entity Type:Organization
Organization Name:ASHBROOK RADIOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEATON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-684-2816
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:254 TWO BROOKS TRAIL
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1289
Mailing Address - Country:US
Mailing Address - Phone:828-684-2816
Mailing Address - Fax:
Practice Address - Street 1:1 VANDERBILT PARK DR
Practice Address - Street 2:SUITE 240
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1736
Practice Address - Country:US
Practice Address - Phone:828-274-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty